BMC pregnancy and childbirth · 2025
Obstetric violence and its associated factors among HIV-positive women receiving birth care at public health facilities, Addis Ababa, Ethiopia.
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Assefa Anteneh Wondimagegn, Ayele Basha, Masersha Seteamlak Adane
Аннотация
BACKGROUND: Obstetric violence is an emerging health problem in maternal health services utilization. In the study context, there was limited evidence on obstetrics violence. Hence, the aim of this study to assess obstetric violence and its associated factors among HIV-positive women received birth care at public health facilities, Addis Ababa, Ethiopia.
RESULT: A total of 318 HIV-positive women had been participated in this study yielding 100% response rate. In this study 79% of HIV-positive women reported they had been subjected to at least one form of obstetric violence during birth care. The top three reported forms of obstetric violence: 249 (78.3%) failure to get informed consent, 227 (71.4%) unconsented medical procedure, 140 (44%) neglecting to suffer life-threatening complication. In the multivariable logistic regression analysis were identified that Female birth attendants (AOR = 2.85; 95% CI 1.57, 5.15), less than three times ANC-visitors (AOR = 2.99; 95% CI 1.39, 6.45), age > 35 years old (AOR = 2.47; 95% CI 1.25, 4.90) and primary school attendants (AOR = 2.13; 95% CI 1.08, 4.17) were significantly associated with obstetrics violence. This study identified that high prevalence of obstetric violence among HIV positive women. Hence, mitigation is needed to be undertaken by taking the reported forms of obstetrics violence, socio-demographic and obstetrics variables by ensuring a systematic and strategic intervention for quality birth care utilization through an inclusive involvement like families, communities, government and stakeholders.
RESULT: A total of 318 HIV-positive women had been participated in this study yielding 100% response rate. In this study 79% of HIV-positive women reported they had been subjected to at least one form of obstetric violence during birth care. The top three reported forms of obstetric violence: 249 (78.3%) failure to get informed consent, 227 (71.4%) unconsented medical procedure, 140 (44%) neglecting to suffer life-threatening complication. In the multivariable logistic regression analysis were identified that Female birth attendants (AOR = 2.85; 95% CI 1.57, 5.15), less than three times ANC-visitors (AOR = 2.99; 95% CI 1.39, 6.45), age > 35 years old (AOR = 2.47; 95% CI 1.25, 4.90) and primary school attendants (AOR = 2.13; 95% CI 1.08, 4.17) were significantly associated with obstetrics violence. This study identified that high prevalence of obstetric violence among HIV positive women. Hence, mitigation is needed to be undertaken by taking the reported forms of obstetrics violence, socio-demographic and obstetrics variables by ensuring a systematic and strategic intervention for quality birth care utilization through an inclusive involvement like families, communities, government and stakeholders.